SOUTHEASTERN BEHAVIORAL HEALTHCARE (NPI# 1114002573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114002573 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN BEHAVIORAL HEALTHCARE |
| Practice Address |
2000 S Summit Ave Sioux Falls SD 57105 |
| Mailing Address |
2000 S Summit Ave Sioux Falls SD 57105-2727 |
| Practice Telephone | 6053360510 |
| Mailing Telephone | 6053360510 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | ROBYN BROWER (BUSINESS MANAGER) |
| Authorized Official Telephone | 6053360510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
SD | Ambulatory Health Care Facilities | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | BLUE CROSS & BLUE SHIELD | 1002113 | 01 |
| SD | 5200020 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689948317 | Southeastern Behavioral Healthcare | Community/Behavioral Health | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2012-02-27 |
| 1740415389 | Southeastern Behavioral Healthcare | Community/Behavioral Health | 805 N Franklin St, Whiteville, NC 28472-2735 | 2009-05-27 |
| Street Address |
2000 S SUMMIT AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283523 | Crosby Skipper | Counselor | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2020-10-22 |
| 1154939601 | Josh Wayne Reinfeld | Social Worker | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2020-07-21 |
| 1487270138 | Brianna C Kelly | Licensed Practical Nurse | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2020-06-18 |
| 1942824073 | Ellen Nelson | Counselor | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2020-06-04 |
| 1689294282 | Holly Suzanne Kelly | Counselor | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2020-04-23 |
| 1619508116 | Jordan Jean Brockhoff | Social Worker | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2020-02-03 |
| 1609414697 | Allison Rae Steinwand | Counselor | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2019-12-20 |
| 1447896881 | Danielle Sue Kruger | Social Worker | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2019-11-20 |
| 1407491269 | Marquette Bratsch | Counselor | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2019-11-15 |
| 1265076244 | Melonie Beth Steffen | Registered Nurse | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2019-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467872101 | Mary T. Guth | Clinic/Center | 1605 E 63rd St, Sioux Falls, SD 57108-4759 | 2014-04-21 |
| 1578181947 | Schramm Counseling Services | Clinic/Center | 4948 E 57th St, Sioux Falls, SD 57108-8705 | 2020-07-11 |
| 1659994408 | Mindful Dbt, LLC | Clinic/Center | 5708 S Remington Pl Ste 400, Sioux Falls, SD 57108-5160 | 2020-05-27 |
| 1083257075 | La Nouvelle Rue Counseling, LLC | Clinic/Center | 3220 W 57th St Ste 100a, Sioux Falls, SD 57108-3146 | 2019-10-22 |
| 1528625233 | Beloved Counseling and Coaching, L.L.C. | Clinic/Center | 5024 S Bur Oak Pl Ste 212, Sioux Falls, SD 57108-2238 | 2019-05-29 |
| 1306310065 | Sioux River Mental Health Services, LLC | Clinic/Center | 6809 S Minnesota Ave, Sioux Falls, SD 57108-2569 | 2019-01-16 |
| 1699009944 | Avera Mckennan | Clinic/Center | 2412 S Cliff Ave, Suite 200, Sioux Falls, SD 57105-4031 | 2009-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396373981 | Horse Sense Counseling LLC | Clinic/Center | 2040 W Main St Ste 305, Rapid City, SD 57702-2447 | 2020-03-30 |
| 1467088088 | Family Connections Counseling LLC | Clinic/Center | 2040 W Main St Ste 306, Rapid City, SD 57702-2447 | 2020-03-15 |
| 1912541921 | Enso Mental Health, LLC | Clinic/Center | 211 N Main St Ste 104, Spearfish, SD 57783-2646 | 2019-11-01 |
| 1538696992 | Bach Counseling Services, LLC | Clinic/Center | 1575 N Lacrosse St Ste H, Rapid City, SD 57701-6969 | 2017-05-16 |
| 1013283670 | Mark W. Perrenoud Ph.d. Inc. | Clinic/Center | 1818 West Fulton, Suite 201, Rapid City, SD 57702-4347 | 2012-03-28 |
| 1174890164 | Psychiatric Services, LLC | Clinic/Center | 506 Lovely Ave, Baltic, SD 57003-0328 | 2011-11-19 |
| 1790386050 | The Coping Center | Clinic/Center | 21 Market St, Vermillion, SD 57069-3037 | 2020-11-03 |
| 1902422116 | Grace Counseling, LLC | Clinic/Center | 1320 North Ave, Spearfish, SD 57783-1525 | 2020-06-23 |
| 1891320867 | Jockheck Counseling and Consulting, LLC | Clinic/Center | 740 E Sioux Ave Ste 110, Pierre, SD 57501-3396 | 2020-03-10 |
| 1942856380 | Lifestages Counseling LLC | Clinic/Center | 811 E Saint Andrew St Ste 3, Rapid City, SD 57701-3982 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on SOUTHEASTERN BEHAVIORAL HEALTHCARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.